| NPI | 1609137942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY KOCH Owner 605-275-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SD 375) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SD 11) |
| 231H00000X Audiologist (Licence: SD 16) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |